| NPI | 1962590133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME61772) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 9801729) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 34855) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 37513) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 056157) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 080700) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-10-10 |